Understanding PSVT: Post-Ablation Care and Medication Insights
PSVT radiofrequency ablation The patient has a history of paroxysmal supraventricular tachycardia (PSVT) for approximately three years and underwent catheter ablation in December of last year and again in July of this year. Since the second ablation in July, there have been two i...
Dr. Huang Yinghe Reply:
Hello: 1. Diets containing caffeine and tea may increase the likelihood of paroxysmal supraventricular tachycardia (PSVT) or other arrhythmias. If consumed occasionally without discomfort, it may be acceptable; however, it is advisable to discuss with your physician whether you c...[Read More] Understanding PSVT: Post-Ablation Care and Medication Insights
Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness
Cardiac pacemaker The patient had their sling removed approximately six weeks after the pacemaker implantation, but is unable to fully extend their arm. They experience pain in the upper arm and shoulder joint, often waking up at night due to the pain. During a follow-up visit, t...
Dr. Huang Yinghe Reply:
Hello Mr. Chuang: It is not uncommon to experience shoulder pain after the implantation of a pacemaker. This is generally believed to be related to decreased activity levels and muscle strength deterioration. Strengthening exercises and improving joint mobility through physical a...[Read More] Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness
Understanding Heart Palpitations: Insights from a 24-Hour ECG Report
Arrhythmia Hello, doctor. I often experience sensations of skipped heartbeats or a strong heartbeat. I recently underwent a 24-hour Holter monitor, and the report is as follows. Could you please help me interpret it? If there are no other symptoms like dizziness, would you recomm...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Heart Palpitations: Insights from a 24-Hour ECG Report
Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Rapid heartbeat? Recently, when I lie down to sleep, I feel a pulsating sensation in the back of my head, along with my heart beating rapidly. I also have a bit of a weight problem. What kind of condition could this be?
Dr. Li Shengkai Reply:
Palpitations and tachycardia are primarily evaluated with an electrocardiogram (ECG). Additionally, it is important to consider conditions such as anemia, thyroid disorders, endocrine diseases, or electrolyte imbalances. These can be further assessed through blood tests in conjun...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Understanding Arrhythmias and Valve Insufficiency: When to Seek Help
Arrhythmia & Valvular Insufficiency Hello, Doctor. I had a cardiac examination last year and took Cardil for six months. After that, I felt fine and did not seek further medical attention. This summer has been extremely hot, and I've experienced chest tightness, palpitat...
Dr. Wu Xueming Reply:
The severity of valve insufficiency and whether it leads to heart failure need to be diagnosed through echocardiography. If symptoms do not improve, it is recommended to go to the hospital for an echocardiogram.[Read More] Understanding Arrhythmias and Valve Insufficiency: When to Seek Help
Managing Atrial Fibrillation During Colonoscopy: What You Need to Know
Atrial fibrillation and issues related to colonoscopy? Hello Doctor: I am a patient with persistent atrial fibrillation and currently taking anticoagulants (Rivaroxaban) daily. I am considering undergoing a colonoscopy soon. What should I do? I can stop the anticoagulant, but I a...
Dr. Wu Xueming Reply:
Colonoscopy may require biopsy, so it is recommended to discontinue oral anticoagulants one to two days prior to the procedure and resume them afterward. However, the risk of stroke varies among patients, so it is advisable to consult the prescribing physician in the outpatient c...[Read More] Managing Atrial Fibrillation During Colonoscopy: What You Need to Know
Understanding the Effectiveness of Antiarrhythmic Medications for Heart Rhythm Disorders
Questions regarding the use of Xinli Zhen medication? I would like to ask about my condition. I have arrhythmia and early ventricular depolarization, and my doctor prescribed me a medication called Sotalol for one month. However, I forgot to ask how to determine if this medicatio...
Dr. Wu Xueming Reply:
The treatment for premature ventricular depolarization, in addition to medication, should also consider various lifestyle factors that may contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recomme...[Read More] Understanding the Effectiveness of Antiarrhythmic Medications for Heart Rhythm Disorders
Understanding Your Heart: Interpreting Holter and Exercise ECG Results
I would like to consult with the director regarding the report? Hello, Director. I apologize for bothering you. The new test results for the 24-hour Holter monitor and exercise stress test have come out, and I can't understand the report I translated myself. Could you please...
Dr. He Dongjin Reply:
Hello, both reports are normal; it's just that each physician has a different reporting style, which makes them appear different. Overall, the heart is in good condition. A heart rate increase from 70-80 to 130-140 is not considered arrhythmia. The two 24-hour Holter ECGs sh...[Read More] Understanding Your Heart: Interpreting Holter and Exercise ECG Results
Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?
24-hour Holter monitor? Director, I apologize for bothering you with this report. Are there any abnormalities, or is everything normal? Thank you. Result: 1. The basic rhythm was Sinus Rhythm (SR). 2. The maximum heart rate (138 bpm at PM 8:50) was Supraventricular Tachycardia (...
Dr. He Dongjin Reply:
Hello, ST, SB, and SR refer to sinus rhythm, which indicates a normal heart rhythm. ST stands for sinus tachycardia, SB stands for sinus bradycardia, and SR stands for sinus rhythm. This report is very good, with no abnormalities. Although you felt unwell four times, it was still...[Read More] Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?
Is It Normal to Feel Blood Flow During Donation? Expert Insights
Blood donation issues Hello, Dr. Ho. I have donated whole blood six times so far, and I would like to inquire about a sensation I experienced during my most recent donation. I felt a sensation of blood flowing in the arm from which I was donating, and I would like to know if this...
Dr. He Dongjin Reply:
Hello, it is possible that this time the needle insertion slightly affected a nerve, which is why you are feeling some sensations. You can continue to be a good person and donate blood at Changhua Hospital. We care about you.[Read More] Is It Normal to Feel Blood Flow During Donation? Expert Insights
Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about your well-being.[Read More] Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Atrial fibrillation In May of this year, during a follow-up visit, I was diagnosed with arrhythmia, specifically paroxysmal atrial fibrillation and flutter. The doctor recommended proceeding with catheter ablation. After the follow-up in June, the treatment was adjusted to medica...
Dr. He Dongjin Reply:
Hello, you have nearly 40% atrial fibrillation. The treatment options include medication management and catheter ablation. If you are still feeling very uncomfortable with medication alone, it is important to seriously consider undergoing catheter ablation. Regardless of the appr...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Understanding Myocardial Perfusion Issues: Insights and Management Strategies
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about you.[Read More] Understanding Myocardial Perfusion Issues: Insights and Management Strategies
Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Questions about arrhythmias in electrocardiograms? Hello Doctor, recently my symptoms of arrhythmia have intensified. Initially, it occurred once or twice a week and lasted for one or two days before resolving, so the doctor did not prescribe medication and suggested monitoring. ...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms do not improve, medicatio...[Read More] Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Can I Take Heart Medication with Natto and Red Yeast Rice?
Questions about medications for arrhythmia? I would like to ask if it is safe to take Heart Regulating (心利正) medication prescribed by my doctor for my arrhythmia, along with my regular supplements of natto red yeast (which contains 15 mg of Monacolin K, 5000 FU of nattokinase, an...
Dr. Wu Xueming Reply:
Please allow at least one hour between doses to avoid affecting drug absorption.[Read More] Can I Take Heart Medication with Natto and Red Yeast Rice?
Understanding Heart Protein Issues: Symptoms and Precautions
Cardiac issues Doctor, I’m sorry. I recently went to the hospital for tests, including blood work and a cardiac ultrasound. They mentioned that I have cardiac proteins, but I’m not sure why they are present. What should I do if this condition becomes serious? Are there any specif...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to determine what protein it is. Please bring the report to the outpatient clinic to consult with a doctor.[Read More] Understanding Heart Protein Issues: Symptoms and Precautions
Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Interpretation of Echocardiogram Report Dear Dr. Wu, I have previously suffered from infective endocarditis, which resulted in severe mitral regurgitation. I underwent mitral valve repair surgery in early December 2021. Below are the echocardiogram reports from two examinations ...
Dr. Wu Xueming Reply:
Postoperatively, there is still moderate mitral valve regurgitation. Please follow up regularly at the outpatient clinic, adhere to the prescribed medication regimen, and engage in regular exercise.[Read More] Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Understanding High HDL Cholesterol: Should You Consider Medication?
High levels of high-density lipoprotein (HDL) cholesterol? Hello Dr. Wu, I do not have hypertension or diabetes. This year, my blood test results showed total cholesterol at 237, LDL at 95, and HDL at 133. My HDL has consistently been above 100 for several years, increasing each ...
Dr. Wu Xueming Reply:
According to your report, there is currently no need for medication. It is recommended to engage in regular exercise and avoid fried foods.[Read More] Understanding High HDL Cholesterol: Should You Consider Medication?
Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Abdominal aortic atherosclerosis A comprehensive health check-up revealed suspected atherosclerosis of the abdominal aorta. I would like to ask the physician how this condition develops, what uncomfortable symptoms may arise, what precautions should be taken in daily life, how of...
Dr. Li Han Reply:
Hello, atherosclerosis is a pathological condition characterized by the accumulation of lipids beneath the arterial intima, leading to the formation of atheromatous plaques, which results in vascular hardening, narrowing, and even obstruction. This can occur in the abdominal aort...[Read More] Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Understanding Metal Stent Subsidy Issues in Cardiovascular Care
Metal stent subsidy issues? In early July of this year, I underwent catheter surgery for an arterial embolism in my left thigh, during which two metal stents were placed. Since health insurance only covers four metal stents per person per year, I would like to know if I can recei...
Dr. Huang Yinghe Reply:
Hello: Currently, the regulations regarding the reimbursement for vascular stents limit the number to four per year specifically for coronary artery stents. [Regulations and Reimbursement Guidelines for Coronary Artery Stents]: (Effective from January 1, 2023) -- 3. Quantity of U...[Read More] Understanding Metal Stent Subsidy Issues in Cardiovascular Care